Abstract
85 pts (34 ♂, 51 ♀, aged 5 1/2 -18 years) with seizures of uncertain epileptic origin were examined in the years from 1976 to 1987. The diagnostic method includes: accurate anamnesis, observation of the seizures by some experts; repeated EEG (standard, sleep-registration, telemetry, poligraphy, video-tape) with activation when necessary, heart examination and EKG. In 18% the EEG registration of the pseudo-seizures permitted a rapid diagnosis; in 70% the diagnostical iter was prolonged during the psychotherapeutic treatment; in 12% some doubts remained. 48 pts assumed AED and were considered to be resistant to therapy. 4 groups were singled out: 28 epileptic pts with epileptic seizures and pseudo-seizures; 39 pts with pure pseudo-seizures; 7 pts with syncopes; 11 pts with doubtful seizures (diagnostic uncertainty, between pure pseudo-seizures and combined with partial seizures). In the most immature pts, the somatisation appeared to be reactive to conflicts with the environment; short-term psychotherapy was successful. In adolescents with normal intelligence some forms of somatic conversion (a neurotic mechanism) were noticed; in these cases a long-term psychotherapy was necessary.
| Original language | English |
|---|---|
| Title of host publication | Bollettino - Lega Italiana contro l'Epilessia |
| Pages | 67-69 |
| Number of pages | 3 |
| Edition | 62-63 |
| Publication status | Published - 1988 |
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ASJC Scopus subject areas
- Clinical Neurology
Cite this
Pseudoseizures in children and adolescents with or without epilepsy. / Saccomani, L.; Cirrinione, M.; Savoini, M.; Zanotto, E.; Cordella, E.; Matricardi, A.; Boragno, F.
Bollettino - Lega Italiana contro l'Epilessia. 62-63. ed. 1988. p. 67-69.Research output: Chapter in Book/Report/Conference proceeding › Chapter
}
TY - CHAP
T1 - Pseudoseizures in children and adolescents with or without epilepsy
AU - Saccomani, L.
AU - Cirrinione, M.
AU - Savoini, M.
AU - Zanotto, E.
AU - Cordella, E.
AU - Matricardi, A.
AU - Boragno, F.
PY - 1988
Y1 - 1988
N2 - 85 pts (34 ♂, 51 ♀, aged 5 1/2 -18 years) with seizures of uncertain epileptic origin were examined in the years from 1976 to 1987. The diagnostic method includes: accurate anamnesis, observation of the seizures by some experts; repeated EEG (standard, sleep-registration, telemetry, poligraphy, video-tape) with activation when necessary, heart examination and EKG. In 18% the EEG registration of the pseudo-seizures permitted a rapid diagnosis; in 70% the diagnostical iter was prolonged during the psychotherapeutic treatment; in 12% some doubts remained. 48 pts assumed AED and were considered to be resistant to therapy. 4 groups were singled out: 28 epileptic pts with epileptic seizures and pseudo-seizures; 39 pts with pure pseudo-seizures; 7 pts with syncopes; 11 pts with doubtful seizures (diagnostic uncertainty, between pure pseudo-seizures and combined with partial seizures). In the most immature pts, the somatisation appeared to be reactive to conflicts with the environment; short-term psychotherapy was successful. In adolescents with normal intelligence some forms of somatic conversion (a neurotic mechanism) were noticed; in these cases a long-term psychotherapy was necessary.
AB - 85 pts (34 ♂, 51 ♀, aged 5 1/2 -18 years) with seizures of uncertain epileptic origin were examined in the years from 1976 to 1987. The diagnostic method includes: accurate anamnesis, observation of the seizures by some experts; repeated EEG (standard, sleep-registration, telemetry, poligraphy, video-tape) with activation when necessary, heart examination and EKG. In 18% the EEG registration of the pseudo-seizures permitted a rapid diagnosis; in 70% the diagnostical iter was prolonged during the psychotherapeutic treatment; in 12% some doubts remained. 48 pts assumed AED and were considered to be resistant to therapy. 4 groups were singled out: 28 epileptic pts with epileptic seizures and pseudo-seizures; 39 pts with pure pseudo-seizures; 7 pts with syncopes; 11 pts with doubtful seizures (diagnostic uncertainty, between pure pseudo-seizures and combined with partial seizures). In the most immature pts, the somatisation appeared to be reactive to conflicts with the environment; short-term psychotherapy was successful. In adolescents with normal intelligence some forms of somatic conversion (a neurotic mechanism) were noticed; in these cases a long-term psychotherapy was necessary.
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UR - http://www.scopus.com/inward/citedby.url?scp=0024267794&partnerID=8YFLogxK
M3 - Chapter
AN - SCOPUS:0024267794
SP - 67
EP - 69
BT - Bollettino - Lega Italiana contro l'Epilessia
ER -